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Paradise Lake Senior Care Home, Llc
Adult Care Home Facility in Snohomish, Washington
NPI 1932508868

Paradise Lake Senior Care Home, Llc is an Adult Care Home Facility based in Snohomish, WA and is specialized in Adult Care Home. Paradise Lake Senior Care Home, Llc practices in Snohomish, WA. The NPI Number for Paradise Lake Senior Care Home, Llc is 1932508868 and holds a License No. 751477 (Washington).

The current practice location address for Paradise Lake Senior Care Home, Llc is 10121 219Th St Se, Snohomish, WA and can be reached out via phone at 425-761-7739 and via fax at 360-668-5297.

Location: 10121 219Th St Se, Snohomish, WA, 98296-4941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932508868
Provider Name
Paradise Lake Senior Care Home, Llc
Credential
Provider Entity Type
Organization
Address
10121 219Th St Se, Snohomish, WA, 98296-4941
Phone Number
425-761-7739
Fax Number
360-668-5297
Provider Enumeration Date
08/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
515305 05 WA
institution
Provider Business Practice Location Address Details
Address
10121 219Th St Se
City
Snohomish
State
Washington
Zip
98296-4941
Phone Number
425-761-7739
Fax Number
360-668-5297
person
Provider Business Mailing Address Details
Address
10121 219Th St Se
City
Snohomish
State
Washington
Zip
98296-4941
Phone Number
425-761-7739
Fax Number
360-668-5297
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
751477 (Washington)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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